Led by House Health Care Committee Chair, CCO Reform Bill (HB 4018) Passes on House Vote of 32-26-2 and Heads to Senate Health Care Committee on February 26th

See full text of HB 4018 Here

HB 4018 would amend current Coordinated Care Organization (CCO) statutes to require a more open public meetings process and makes changes to CCO financial and operating requirements. The bill passed the House on a 32-26 vote (two excused). If signed into law, the bill would take effect for the next five-year Medicaid managed care contracts which will begin in 2019.

Summary of Key to Changes to CCO’s under HB 4018 include:

Meeting Transparency:  the bill models meeting requirements currently being used by an existing CCO (Pacific Source); bill did not go so far as to require CCO’s to comply with formal “public meetings” laws.  

Financial and Operating Requirements: requires excess financial reserves to be invested in improving community health; also requires CCOs to give notice if they plan to end service. CCOs would have to give four months’ notice to the Oregon Health Authority if they do not wish to renew their annual contract, and would have to give three months’ notice to members, along with a plan to transfer their care.

Five Democrats opposed the bill, while two Republicans supported the measure.


Contributed by: Andy Smith | AOC Policy Manager